ETHAN TENG XIONG

CHARLESTON, SC
NPI1235911520
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: SC  123456789)
Enumeration Date2023-10-20
Last Update Date2023-10-20
Business Address
Dr. ETHAN TENG XIONG PhD
109 BEE ST
CHARLESTON, SC 29401-5703
Phone number: 843-789-6500
Mailing Address
Dr. ETHAN TENG XIONG PhD
35 FOLLY ROAD BLVD UNIT 358
CHARLESTON, SC 29407-8314
Phone number: 651-492-8096